COVID-19 in Europe: releases weekly updated status reports.

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The Standing Committee of European Doctors (CPME) gathers COVID-19 related information amongst National Medical Associations on a continuous basis and
                                                       releases weekly updated status reports.

                                                         COVID-19 in Europe:
                       Status report from the National Medical Associations
                                                                        12 March 2021

This report provides an overview of the national responses to the COVID-19 outbreak in Europe and the medical profession’s involvement in the fight against the
                                                                            virus.

                 Disclaimer: As national situations constantly evolve this report does not claim permanent or comprehensive validity but rather
                             provides a snapshot at a given point in time. The information provided originates from different dates.
Questions 1:

       COVID-19 prevalence amongst doctors (Infection/death rates among doctors and other health professionals)
       Do all health professionals have access to high quality PPE?
       Have you changed your procurement practices for PPE?
       Are doctors regularly tested for COVID-19? If so, how often?
       If you request to be tested for COVID-19, are the test fees covered by the national health system?
       Are doctors a priority group in the national COVID-19 vaccination plan?
       Who may administer the COVID-19 vaccine (under supervision of a doctor)?
       How does your country organise the staffing of the vaccine centres?
       If you use a digital contact tracing app, is there a different regime for the proximity alerts if you are a health professional?
       Shortages of medicines (e.g. Propophol)?
       Shortages of Medical Devices (e.g. ventilation devices)?
       Have you used 100% of your stocks of medical devices and medicines needed to treat COVID-19 patients at any time of the pandemic?
       Did you manage to restock medicines and medical devices? Did you cooperate with other countries or participate in any EU programme?
       Have you noticed an increase of falsified or substandard medical devices or medicines to treat COVID-19 patients?
       Shortage of workforce?
       Do you still rely on national reserves of healthcare professionals, e.g. retired doctors, students?
       Working time/Work load
       Is there compensation for loss of income? Is there compensation for families of doctors, who lost their lives to Covid? Are bonuses given to health
        professions?
       What are the on-going restrictions on professional practice, appointments, patient contact?
       How long will it take to deal with the backlog of treatments (postponed elective surgeries, postponed cancer treatment, patients presenting late)?
       What training was offered to doctors to deal with the pandemic (e.g. relating to PPE, ICM or digital skills)?
       What kind of mental health and wellbeing support practices have been put in place for doctors and other healthcare professionals?
       Other workforce measures of note (e.g. in relation to travel restrictions)?
       Other comments

1
    All information was updated with the reports provided by National Medical Associations up to 12 March 2021. Fields marked with a « 0 » imply that no response has been received so far.
Countries:

    Albania                                        Greece                                     North Macedonia
    Austria                                        Hungary                                    Norway
    Belgium                                        Iceland                                    Poland
    Bulgaria                                       Ireland                                    Portugal
    Croatia                                        Israel                                     Romania
    Cyprus                                         Italy                                      Serbia
    Czech Republic                                 Kosovo ∗                                   Slovakia
    Denmark                                        Latvia                                     Slovenia
    Estonia                                        Lithuania                                  Spain
    Finland                                        Luxembourg                                 Sweden
    France                                         Malta                                      Switzerland
    Georgia                                        Montenegro                                 Turkey
    Germany                                        Netherlands                                Ukraine
                                                                                              United Kingdom

∗
    References to Kosovo are without prejudice to positions on status. They are in line with United Nations Security Council Resolution 1244/1999 and
    the opinion by the International Court of Justice on the Kosovo declaration of independence.
Country          COVID-19 prevalence amongst doctors (Infection/death rates among doctors and
                 other health professionals)
Albania                                                                                                                                          0
Austria          Data on this issue is not published. To date, the death of one doctor (GP) is known.
Belgium                                                                                                                                          0
Bulgaria         Number of healthcare professionals infected (confirmed by a PCR test) in 2020: 9142. 46 physicians have lost their lifes. May
                 their souls rest in peace.
Croatia                                                                                                                                          0
Cyprus                                                                                                                                           0
Czech Republic   By 15 November, there had been 5401 cases and 9 deaths among doctors, and 14,733 cases and 5 deaths among nurses. In
                 general, the autumn wave of the COVID-19 epidemic has been much more serious than the spring wave.

Denmark          By 15 December, there had been 932 hospital doctors (5,06%) and 27 GPs (3,11%) infected with Covid-19.
Estonia          There were minor outbreaks in three hospitals in Estonia, one in Tallinn and one in the East region.
Finland          Health authorities do not publish this kind of information.
France           On 3 June, the retirement fund for doctors (CARMF) counted about fifty private physicians who had died of COVID-19.

Georgia          15 500 medical staff (official data for 2020) are infected. 62 died (0,4%).
Germany          Especially in the early stages of the pandemic many health professionals with COVID-19 were registered without any special
                 reference to their work. However, reporting has improved since. At the end of January 2021, there were 111.076 confirmed
                 cases of health professionas who contracted COVID-19 (including other medical staff), of whom 193 died. Three percent of
                 German health professionals contracted the disease so far (Source: RKI).

Greece           More than 1500 healthcare professionals are COVID-19 positive and approximately 500 doctors and nurses are in quarantine.
                 Three doctors and one nurse passed away.
Hungary          On 02/10/2020, there were 481 infected health professionals in Hungary. There are no specific numbers on doctors available at
                 the moment.
Iceland          There are no overall statistics for COVID-19 infections amongst doctors. The IcMA has regularily made enquiries to all health
                 organisations in the country. So far there appear to be no patient – doctor transmissions and no deaths among doctors.
Ireland           As of 03/03/2021 there has been 26545 (12% of all cases) cases of infection among HCWs and 15 deaths. Between 22/11/2020
                  and 20/02/2021, there were a total of 14,866 HCW cases. 646 (4.4%) of these cases were amongst doctors.

Israel                                                                                                                                              0
Italy             As of 16 February 2021, 319 doctors have died of a COVID-19 infection. There have been 118.856 cases among healthcare
                  workers (cumulative data), of which 7.604 cases occurred in the last 30 days. The sources for this data are FNOMCeO and the
                  Istituto Superiore di Sanità.
Kosovo*           Based on data 10/01/2021 there have been 3397 cases of infection among healthcare professionals of which 1179 cases are
                  doctors. 18 doctors have lost their life.
Latvia            Available data indicates low infection rate among doctors and other health professionals - close to the 10% of all cases. Since
                  November 2020, there have been 6 deaths among doctors.
Lithuania         There is no information about the prevalence among doctors. Lithuanian Medical Association knows about 61 170 healthcare
                  workers tested till October and 558 of them were tested positive (0,91%). The biggest number of infected healthcare workers
                  was in September -126. There were no deaths among doctors and other health professionals.

Luxembourg                                                                                                                                          0
Malta                                                                                                                                               0
Montenegro                                                                                                                                          0
Netherlands       There is no prevalence data amongs doctors available. Since 27 February 2020, there were altogether 883,135 COVID-19
                  infections were reported by the Municipal Public Health Services (GGDs). Until 12 Januari 2021, 110,438 confirmed cases
                  (health professionals, age 18-69 years) have been registered. 16% of all confirmed cases (age 18-69 years) are health
                  professionals. 1,8% of all registered deaths due to COVID-19 were health professionals.

North Macedonia   By 17 January 2021, there had been 3439 confirmed COVID 19 cases and 22 deaths among all health care professionals. Health
                  authorities do not publish exact statistics, so there is no information about the prevalence among doctors or how many
                  infections are workplace-related. Out of 22 deaths reported among health care professionals, to our knowledge, almost half
                  were doctors.
Norway            Available data indicate very low infection rates among doctors and other health professionals since June. To our knowledge no
                  deaths among health professionals have been registered due to COVID-19.
Poland        According to data released by the Polish Ministry of Health on 5 February to date 86 medical doctors died due to COVID-19 (21
              964 doctors were tested positive). As regards other healthcare professionals the numbers are: among dentists, there were 12
              deaths (out of 2096 cases), among nurses, there were 67 deaths (out of 55 269 cases), among paramedics there were 7 deaths
              (out of 3320 cases), and among pharmacists there were 5 (out of 2359 cases).

Portugal                                                                                                                                      0
Romania       On 7 October, the situation in Romania was:
              The infection rate of health workers compared to the average infection rate of citizens is 3.21/1.
              The share of infected health workers in the total number of infected citizens is 4%.
              A total of 5,717 confirmed cases of health workers, of which 700 are doctors.
              Deaths among health workers: 34.
              So far, 142,570 infections and 5,203 deaths due to COVID-19 have been registered in the Romanian population.
Serbia                                                                                                                                        0
Slovakia                                                                                                                                      0
Slovenia                                                                                                                                      0
Spain                                                                                                                                         0
Sweden        Infection prevalence: 13 March -30 June 2020: 3,4 %                                                     24 August - 15
              December 2020: 5,6 %                      According to the media 2 doctors with confirmed COVID-19 infection have died.

Switzerland   There are no official numbers are available, incidence varies by canton and speciality. In the beginning of the pandemic the risk
              of infoection for doctors and other health professionals in Switzerland was clearly elevated in comparison to the general
              population. One reason was lack of PPE. Death rates are considered to be low.
Turkey        According to the Ministry of Health data on 9.12.2020: The number of healthcare professionals infected with COVID-19 is
              120,000 and the number of deaths is 216; so infection-case (some of the cases are in screening) fatality rate is %0,18. According
              to the Turkish Medical Association (TMA) data on 25.01.2021, the number of healthcare professionals who died due to COVID-
              19 is 327 (actively working); based on this data, it is estimated that 181,666 healthcare professionals are infected. The number
              of active doctors working in Turkey is 165 thousand (the number of deaths due to COVID-19 is 118) the infection fatality rate is
              %0.7. According to the data obtained by TMA, 138 doctors (118 actively working, including Syrian physicians) died due to COVID-
              19 related causes. There are 165 ,000 active physicians working in Turkey. In this case, mortality rate due to COVID-19 is 0.07%
              for physicians working actively.
UK        Doctors in England and Wales completed the survey between 6 and 12 August.
          Of the 4,120, 12% had a diagnosis confirmed by testing, and 14% had not. 63% did not believe they had contracted the virus.
          Continuing or new symptoms that are believed to have been caused by Covid-19 that are reported by doctors who had
          contracted Covid-19 and have now recovered (1,030 respondents) include: chronic fatigue 21%; reduced exercise capacity 21%;
          muscle weakness 8%; Concentration difficulties 11%.

Ukraine   By 14 November 2020, there had been 26 422 confirmed COVID 19 cases and 258 deaths among all health care professionals.
Country          Do all health professionals have access to high quality PPE?
Albania                                                                                                                                              0
Austria          Yes
Belgium                                                                                                                                              0
Bulgaria         Yes, however helmets are not widely available. Many doctors and health staff purchase them privately.
Croatia                                                                                                                                              0
Cyprus                                                                                                                                               0
Czech Republic   Currently, they do. Hospitals were required to build up the stocks of PPE for 1-2 months of operation. In May when the
                 epidemic situation in CR got better, the Czech Medical Chamber also called upon the private doctors to build up the stocks of
                 PPE for at least 1 month of operation. The offers of existing commercial suppliers of PPE are published on the Czech Medical
                 Chamber website.
Denmark          Yes.
Estonia          Health professionals mostly have access to high quality PPE.
Finland          Yes, they do.
France           A state stock has been made available to health professionals and the quality is monitored by the ANSM through its
                 materiovigilance service. In case of a defective product , there is a form to notify "Deficient Quality in Covid-19 protective
                 equipment": https://signalement.social-sante.gouv.fr/psig_ihm_utilisateurs/index.html#/accueil

Georgia          Yes.
Germany          In spring 2020, there was an evident lack in PPE, first and foremost regarding protective gear and protective masks for health
                 professionals. General practitioners were severely affected. Currently, all health professionals have access to high quality PPE.

Greece           Yes, they do.
Hungary          Yes, they do.
Iceland          Yes, they do.
Ireland          Yes, they do.
Israel                                                                                                                                               0
Italy                                                                                                                                                0
Kosovo*          Yes, they do.
Latvia            Yes, they do.
Lithuania         Yes, certainly. Health care institutions are required to build up stocks of PPE for some months.
Luxembourg                                                                                                                                     0
Malta                                                                                                                                          0
Montenegro                                                                                                                                     0
Netherlands       Only if necessary. Hospitals have their own guidelines. For health professionals working outside the hospital PPE is only
                  recommended when caring for patients with confirmed or suspected COVID-19 within 1,5 m distance. Health professionals may
                  deviate from these guidelines and ask for PPE in specific situations.
North Macedonia   Yes, they do, most of the time. Тhere was a brief shortage of PPE at the beginning of the pandemic, when private practice GPs
                  were most affected, and in non-COVID19 wards strategies for optimizing PPE use were implemented (extended PPE use and
                  using alternative PPE items).
Norway            Whereas at the end of March and the beginning of April, 240 of 356 municipalities reported shortages of PPE, as of August 2,
                  the Norwegian Health Directorate reports no shortage. Some municipalities report having less than 3 weeks supplies.

Poland                                                                                                                                         0
Portugal                                                                                                                                       0
Romania           No, only those in the medical units dedicated to COVID-19. The rest have PPE bought either from personal resources for doctors
                  with free practice, or purchased by employers from the usual suppliers of sanitary materials, being difficult to assess their
                  quality.
Serbia                                                                                                                                          0
Slovakia                                                                                                                                       0
Slovenia                                                                                                                                       0
Spain                                                                                                                                          0
Sweden            Yes. All health professionals have access to PPE at the moment.
Switzerland       At the moment yes. This may be changing, if a 2nd wave comes.
Turkey            No, they don’t. Although equipments are not uniform and vary according to the service where the healthcare professional
                  works and the patient group they work with, they have difficulty finding even the most easily available equipment such as
                  surgical gloves and surgical masks, see https://koronavirus.ato.org.tr/saglik-calisanlari/122-kisisel-koruyucu-ekipman-
                  raporu.html. There have been improvements in this regard over time, but still not enough.
UK        In the early stages of the pandemic the BMA wrote to the Prime Minister to request that “that healthcare workers have the
          proper protection for caring for patients with COVID-19 as well as being given priority testing.”
          Since April the BMA has been conducting regular surveys of the medical profession, which includes access to PPE. In April 2020
          more than half of doctors working in high-risk environments said there were either shortages or no supply at all of adequate
          face masks, while 65% said they did not have access to eye protection. Furthermore, 55% said they felt pressurised to work in a
          high-risk area despite not having adequate PPE. Full survey data is available here https://www.bma.org.uk/advice-and-
          support/covid-19/what-the-bma-is-doing/covid-19-analysing-the-impact-of-coronavirus-on-doctors
          More recently we have (along with other professional bodies) raised concerns about the adequacy of PPE guidance, particularly
          in relation to protection from airborne transmission, and have called for wider use of respiratory protective equipment (eg FFP3
          masks or equivalent).

Ukraine   No, only those in the medical units dedicated to COVID-19. The rest have PPE purchased by employers from the usual suppliers
          of sanitary materials, being difficult to assess their quality.
Country          Have you changed your procurement practices for PPE?
Albania                                                                                                                                            0
Austria          During the COVID-19 pandemic, the import of half masks to Austria is also permitted up to and including 31 December 2020 if
                 the masks do not comply with the regulations for personal protective equipment in accordance with EU-regulation 2016/425.
                 The importer / manufacturer has to ensure that these masks are only used as mechanical protective barriers and that no further
                 protective effect can be assumed.
                 This expressly excludes filtering half masks with built-in exhalation valves and masks with CE markings, FFP devices and / or
                 masks marked with the EN 149: 2001 + A1: 2009 are standard. The import of masks marked or constructed in this way into
                 Austria is only permitted if they comply with the applicable provisions of EU-regulation 2016/425.

Belgium                                                                                                                                            0
Bulgaria         The Emergency Law allowed medical establishments to contract directly with providers of disinfectants, medical equipment,
                 PPEs etc., thus suspending some articles of the Procurement law.
Croatia                                                                                                                                            0
Cyprus                                                                                                                                             0
Czech Republic   During the state of emergency in March and April, PPE was purchased without providing for full and open competition. Fast but
                 in some cases at immoderate prices. After the end of the state of emergency, The Public Procurement Act came back into force.
                 According to our information, the state-organized purchases are slow.
Denmark          The Danish authorities continuously adjust the guidelines etc on use of PPE in the health care sector.
Estonia          No, there was not.
Finland          Procurement processes have been streamlined. Domestic production started in the summer.
France           The state has made a state stock available to healthcare professionals , which is provided, free of charge, through pharmacies,
                 upon presentation of proof of activity.: https://solidarites-sante.gouv.fr/IMG/pdf/2020-dgs-urgent_51_-
                 _evolution_doctrine_distribution_masques.pdf
Georgia          No.
Germany          Germany enacted a new regulation on the procurement of PPE regarding COVID-19 (Verordnung zur Beschaffung von
                 Medizinprodukten und persönlicher Schutzausrüstung bei der durch das Corona-Virus SARS-CoV-2 verursachten Epidemie). The
                 German state is thus responsible for acquisition and distribution of PPE needed to handle the pandemic.

Greece           No, there was not.
Hungary           No, there was not.
Iceland           No, there was not.
Ireland           Yes, there is now a single point of contact for critical PPE.
Israel                                                                                                                                              0
Italy                                                                                                                                               0
Kosovo*           During the state of emergency in March - May, PPE was purchased without providing for full and open competition. PPE became
                  available fast but in some cases at immoderate prices. This is due to the fact that Kosovo* is a small market. After the end of the
                  state of emergency in June 2020, the Public Procurement Law came back into force,even though with a lot of tecnical problems.

Latvia            No. There were partial relief in the legal framework during the state emergency declared from March 11 to June 7.

Lithuania         Yes, the rules of public procurement have been changed due to a large sypply of PPE. Moreover, national companies
                  contributed and provided a lot of PPE for free.
Luxembourg                                                                                                                                          0
Malta                                                                                                                                               0
Montenegro                                                                                                                                          0
Netherlands       No.
North Macedonia   Some articles of the Procurement law were suspended during the state of emergency in the spring.The Ministry of health has
                  made a state stock of PPE available to all public health care facilities and distributed it according to their needs.

Norway            Due to the pandemic, a larger supply of PPE than before has been stockpiled, as the pandemic revealed that the previous
                  preparedness strategy was not sufficient when the whole world community is impacted. One of the regional health
                  corporations, Health South East, has been tasked with procuring and distributing PPE nationally, as a temporary measure.

Poland                                                                                                                                              0
Portugal                                                                                                                                            0
Romania           Unfortunately, there have apparently been frauds in public procurement, and there are currently ongoing investigations. In
                  March and April, doctors with free practice tried to be supplied by the public agency of the Ministry of Health, but the frauds
                  and difficulties in purchasing from external providers, made that all purchases were on the free market, which in turn was as
                  well subject of speculative pressures.
Serbia                                                                                                                                              0
Slovakia                                                                                                                                     0
Slovenia                                                                                                                                     0
Spain                                                                                                                                        0
Sweden        Yes. In Sweden, the 21 regions and 290 municipalities are responsible for everyday purchasing, delivery and receipt of personal
              protective equipment and medical supplies. During the COVID-19 response, the National Board of Health and Welfare has been
              commissioned by the Government to assist coordinated purchasing from the national level and to secure access to personal
              protective equipment and other supplies if the regional or municipal capacity for this is insufficient. The Board is also
              commissioned to assist with redistribution of equipment and supplies, if needed.

Switzerland   Numbers for surgical masks and gloves have been adopted.
Turkey        The measures and regulations in which the healthcare professionals in the area could protect their health were not sufficient at
              the beginning of the pandemic(https://koronavirus.ato.org.tr/saglik-calisanlari/122-kisisel-koruyucu-ekipman-raporu.html).
              TheTurkish Medical Association has warned the Ministry of Health many times on this issue.

UK                                                                                                                                           0
Ukraine       No.
Country          Are doctors regularly tested for COVID-19? If so, how often?
Albania                                                                                                                                          0
Austria          Yes, doctors are tested once a week.
Belgium                                                                                                                                          0
Bulgaria         Medical doctors are tested upon return from vacation and quarantine. Some hospitals have introduced bi-monthly testing.

Croatia                                                                                                                                          0
Cyprus                                                                                                                                           0
Czech Republic   Not regulary. Only in case of showing symptoms and based on recommendation of the general practitioner, or in case of proven
                 contact with an infected person within quarantine.
Denmark          Doctors with ordinary patient contact are tested every 6th week. Doctors in contact with particularly vulnerable patients are
                 tested every second week.
Estonia          Doctors in general do not have access to regular testing.
Finland          There is no regular testing. Doctors are tested if they have symptoms.
France           Healthcare professionals are invited, like any citizen, to be tested in the event of symptoms or "contact cases".
Georgia          Yes, once or twice a week.
Germany          Any health professional who had contact with COVID-19 patients is tested regularly. The frequency of the testing depends on
                 the individual testing strategy of the respective hospitals and other facilities. (Source: Nationale Teststrategie SARS-CoV2)

Greece           All healthcare professionals are tested at least once a week.
Hungary          No, only if they have symptoms or had contact with infected patients.
Iceland          No, but everyone can get a test if they think they have COVID -19 or were in contact with infected individuals.
Ireland          No, healthcare workers are referred for testing if they display one of the symptoms or if they have symptoms of acute
                 respiratory illness OR have been in contact with a confirmed or probable COVID-19 case in the last 14 days.

Israel                                                                                                                                           0
Italy                                                                                                                                            0
Kosovo*          Not regulary. Only in case of showing symptoms or in case of proven contact with an infected person within quarantine.
Latvia            They are tested in the same way as the general population. University hospitals and some regional hospitals have introduced
                  wekly testing of health care profesionals.
Lithuania         Doctors are tested as much as needed, there are no restrictions.
Luxembourg                                                                                                                                               0
Malta                                                                                                                                                    0
Montenegro                                                                                                                                               0
Netherlands       Only if they have (mild) symptoms.
North Macedonia   Not regularly. PCR testing is done only when the doctor has symptoms or is referred by an epidemiologist. However, testing for
                  COVID-19 antibodies presence is available and free of charge for all health professionals at the Institute of Immunology and
                  human genetics and the Institute of clinical biochemistry.
Norway            Health personell who within the previous 10 days has been in countries outside of Norway which are not covered by the
                  requirement of quarantine on return (so-called yellow areas), should inform their employer before returning to work. The
                  recommendation is that they undergo at least one test for SARS-COV-2 and that they do not carry out work in contact with
                  patients befere a negative test is present.
Poland                                                                                                                                                   0
Portugal                                                                                                                                                 0
Romania           They are tested in the same way as the general population, only if they are COVID suspected, or if they have come in direct
                  contact with positive patients and show symptoms. Some medical units test their employees if they have established their own
                  procedure for this. The medical staff of the care units for the elderly and people with special needs is officially tested every two
                  weeks.
Serbia                                                                                                                                                   0
Slovakia                                                                                                                                                 0
Slovenia                                                                                                                                                 0
Spain                                                                                                                                                    0
Sweden            They are not regurlarly tested, only if they show symptoms of COVID-19 or have been at risk to have been infected according to
                  infection contact tracing.
Switzerland       No. Healthcare workers are referred for testing only if they display one of the symptoms or if they have symptoms of acute
                  respiratory illness AND have been in contact with a confirmed or probable COVID-19 case in the last 14 days.
Turkey    No, the doctors are notregularly tested for COVID-19. If they have had high-risk contact with a covid-19 patient, they are tested,
          see https://covid19.saglik.gov.tr/Eklenti/39265/0/covid-19salginyonetimivecalismarehberipdf.pdf.

UK        Staff will get home kits to test themselves twice a week: https://www.england.nhs.uk/coronavirus/publication/asymptomatic-
          nhs-staff-testing/
Ukraine   Not regulary. Only in case of showing symptoms and based on recommendation of the general practitioner, or in case of proven
          contact with an infected person within quarantine.
Country          If you request to be tested for COVID-19, are the test fees covered by the national
                 health system?
Albania                                                                                                                                                0
Austria          The option for a free test is available by contacting the National Health Hotline or in case an infection is justifiably suspected or
                 by signing up for a test at the mass testing sites. Voluntary tests done elsewhere are not covered by the national health system.

Belgium                                                                                                                                                0
Bulgaria         No, if a person wishes to be tested for COVID-19, costs are bourne by the person in question. If referred by physician, tests are
                 covered by the National Health Insurance Fund.
Croatia                                                                                                                                                0
Cyprus                                                                                                                                                 0
Czech Republic   Yes, in this case the test is covered by the public health insurance.
Denmark          Yes
Estonia          Yes, it is.
Finland          Tests are provided both in the public and private sector. In the public sector, the test is free of charge. In the private sector, fees
                 vary and the cost is partly reimbursable from the sickness insurance.
France           Healthcare professionals benefit from easy access to COVID-19 tests on presentation of their professional card in any laboratory
                 of their choice and with full coverage by health insurance.
Georgia          Yes, for cases which fit case definition, in case of close contacts and priority groups.
Germany          Yes, it is for health professionals.
Greece           All citizens have access to public hospitals and can be tested.
Hungary          No, only if the request comes from the doctor. If you want to be tested personally, the price has been regulated by the
                 authorities since 17 September.
Iceland          Yes, they are.
Ireland          If an individual is referred for a COVID test there is no charge.
Israel                                                                                                                                                 0
Italy                                                                                                                                                  0
Kosovo*          No charges in this case.
Latvia           Yes, it is covered. The referral from the GP is necessary though.
Lithuania         All the test fees are covered by the national health system.
Luxembourg                                                                                                                                           0
Malta                                                                                                                                                0
Montenegro                                                                                                                                           0
Netherlands       Yes. Test fees are covered by Public Health Budget.
North Macedonia   PCR testing for COVID-19 is free of charge only when referred by a GP or an epidemiologist. Testing for COVID19 serology is free
                  of charge for all health professionals at the Institute of immunology and human genetics and the University institute of clinical
                  biochemistry.
Norway            Normally yes.
Poland                                                                                                                                               0
Portugal                                                                                                                                             0
Romania           No
Serbia                                                                                                                                               0
Slovakia                                                                                                                                             0
Slovenia                                                                                                                                             0
Spain                                                                                                                                                0
Sweden            Ther is no charge for PCR tests. The fee for the antibody test varies depending on the healthcare region but e.g in the biggest
                  region in Stockholm, the antibody tests are for free.
Switzerland       Depends on the situation.
Turkey            Test fees are not covered by the national health system when healthcare professionals want to be tested without having
                  symptoms of COVID-19.
UK                Yes
Ukraine           The national health system covers testing only if referred by a family doctor, or by the attending physician if the patient is being
                  treated at a state hospital. And in such cases, the suspect of COVID-19 must take a test in a state laboratory. You can choose
                  where to do the test. Tests are provided both in the public and private sector. In the public sector, the test is free of charge. In
                  the private sector a fee applies. Fees vary.
Country          Are doctors a priority group in the national COVID-19 vaccination plan?
Albania                                                                                                                                         0
Austria          Yes.
Belgium                                                                                                                                         0
Bulgaria         Yes. A National Vaccination Plan has been adopted on the 4 December 2020. Phase I: Medical staff of outpatient and inpatient
                 care facilities, healthcare professionals, dentists, pharmacists, assistant pharmacists and other support staff.
                 Expected number of Phase I: 243,600 persons
                 oDoctors - 30,000 persons
                 o Dentists - 10,000 people
                 o Health care specialists - 46,000 people
                 o Master of Pharmacy - 6,600 people
                 o Assistant pharmacists - 2,000 people
                 o Support staff - 150,000 people
                 Phase II: Customers/ patients and staff of social institutions, teachers and staff of mink farms.
                 Expected number: 112,080 people
                 o Social institutions: 15,000 residents and 8,000 staff
                 o Teachers - 89,000 people
                 o Staff of mink farms - 80 people

Croatia                                                                                                                                         0
Cyprus                                                                                                                                          0
Czech Republic                                                                                                                                  0
Denmark          Health personnel is planned to be among the first groups to get the vaccine.
Estonia                                                                                                                                         0
Finland          Healthcare personnel is a priority group.
France                                                                                                                                          0
Georgia          Healthcare personnel is number one priority group.
Germany          Yes. Doctors, along with other health professionals are a priority group in the German vaccination plan.
Greece                                                                                                                                          0
Hungary                                                                                                                                                0
Iceland                                                                                                                                                0
Ireland           Yes, doctors are a priority group in the national COVID-19 vaccination plan. The initial vaccine roll out prioritises vulnerable
                  groups in nursing home and residential settings and frontline healthcare workers in direct patient contact roles, including
                  vaccinators.
Israel                                                                                                                                                 0
Italy                                                                                                                                                  0
Kosovo*           Yes.
Latvia                                                                                                                                                 0
Lithuania                                                                                                                                              0
Luxembourg                                                                                                                                             0
Malta                                                                                                                                                  0
Montenegro                                                                                                                                             0
Netherlands       Yes, doctors working in acute care and COVID-19 units have been prioritized. Doctors working in nursing homes, and doctors
                  working in disability care and home care are a priority group in the first round. Also primary care doctors have been prioritized.

North Macedonia   Yes, all health care professionals are planned to be the first to be vaccinated.
Norway            Partly. Per 08.01.2021 are until 20% of the vaccines sendt to the communities supposed to og to critical health
                  personell(doctors, nurses and other) and 30 000 vaccines are prioritized to critical health personell in the hospitals.

Poland                                                                                                                                                 0
Portugal                                                                                                                                               0
Romania                                                                                                                                                0
Serbia                                                                                                                                                 0
Slovakia                                                                                                                                               0
Slovenia                                                                                                                                               0
Spain                                                                                                                                                  0
Sweden        Doctors were not a priority group at first but now the authorities have agreed that vaccination of healthcare staff within ICUs
              and other COVID-19 related wards can be vaccinated in parallel with the priority groups that are
              • Persons who live in the elderly care homes or have homecare.
              • Staff in elderly care, healthcare and other care staff who work close to people above.
              • Close household contacts to people who have homecare.
Switzerland                                                                                                                                     0
Turkey        Yes, all healthcare professionals are a priority group in the national COVID-19 vaccination plan, see
              https://www.ttb.org.tr/kutuphane/covid19-rapor_10.pdf.
UK            Yes
Ukraine       Yes, all healthcare professionals are a priority group in the national COVID-19 vaccination plan. This vaccination plan have 5
              phases. Phase 1: health professionals who directly provide care to patients with COVID-19. Phase 2: all other health
              professionals.
Country          Who may administer the COVID-19 vaccine (under supervision of a doctor)?

Albania                                                                                                                                             0
Austria          Doctors in training, retired doctors and foreign doctors as well as medical students, qualified nurses and paramedics, depending
                 on whether they have the necessary training.
Belgium                                                                                                                                         0
Bulgaria         Immunisations will be administered by doctors in medical establishments for outpatient and inpatient medical care, Regional
                 Health Inspections, by doctors in specialised structures of the Ministry of Interior and the Ministry of Defense and by teams
                 especially created for this purpose, incl. and mobile teams. Vaccines against COVID-19 is free of charge for the population,
                 regardless of the health insurance status of the persons.

Croatia                                                                                                                                             0
Cyprus                                                                                                                                              0
Czech Republic                                                                                                                                      0
Denmark          The covid-19 vaccine is administered by the normal rules of delegation but the set up with establishing vaccine centres etc. are
                 very tight for minimising the risk of wasting vaccines.
Estonia                                                                                                                                             0
Finland          Healthcare personnel may administer the vaccine.
France                                                                                                                                              0
Georgia          The commission of vaccination administrates vaccinations and is set up by the Prime Minister and the Ministry of Health.

Germany          Before a vaccine can be administered, patients have to be specifically instructed by a doctor. Hereafter, all competent health
                 professionals can administer the COVID-19 vaccine.
Greece                                                                                                                                              0
Hungary                                                                                                                                             0
Iceland                                                                                                                                             0
Ireland           Currenlty qualified and trained healthcare workers, including hospital doctors, community medical officers, nurses, GPs and
                  pharmacists may admisnister vaccines
                  A COVID-19 Vaccinator Recruitment Iniatitive is currently underway to expand the pool of healthcare professionals to
                  administer vaccines. Applicants must be registered or entitled to be.

                  Criteria for vaccinators include:
                  •Doctor
                  •Nurse/Midwife
                  •Pharmacist
                  •Physiotherapist
                  •Emergency Medical Technician
                  •Paramedic/Advanced Paramedic
                  •Dentist
                  •Optometrist

Israel                                                                                                                                             0
Italy                                                                                                                                              0
Kosovo*           Nurses may administer under supervision of a doctor.
Latvia                                                                                                                                             0
Lithuania                                                                                                                                          0
Luxembourg                                                                                                                                         0
Malta                                                                                                                                              0
Montenegro                                                                                                                                         0
Netherlands       Health professionals who are competent / skilled and meet the legal requirements (wet BIG).
North Macedonia   The vaccine is not yet available in North Macedonia, so a vaccination plan is yet not revealed. However, we have established a
                  network of immunization teams. Immunization teams (doctor and nurse) work in immunization departments within health
                  centers countrywide, which are coordinated and supervised by regional public health centers and the National Public Health
                  Institute.
Norway            Nurses and doctors may administer the vaccine.
Poland                                                                                                                                             0
Portugal                                                                                                                                   0
Romania                                                                                                                                    0
Serbia                                                                                                                                     0
Slovakia                                                                                                                                   0
Slovenia                                                                                                                                   0
Spain                                                                                                                                      0
Sweden        Licenced doctors and licenced nurses.
Switzerland                                                                                                                                0
Turkey        The nurses and midwives may administer the COVID-19 vaccine in Turkey.
UK            https://www.bma.org.uk/advice-and-support/covid-19/vaccines/covid-19-vaccination-programme-extra-workforce

Ukraine       Doctors in training, nurses and paramedics, depending on whether they have the necessary training. Vaccination only on the
              recommendation and administer under supervision of a physician.
Country          How does your country organise the staffing of the vaccine centres?
Albania                                                                                                                                              0
Austria          This differs by province, but Austria does not plan to establsh large-scale vaccine centres. Instead, already existing infrastructure
                 will be used and expanded depending on the current phase of the vaccination plan.
Belgium                                                                                                                                              0
Bulgaria         In order to create a streamlined organisation for the supply of vaccines, the country is divided into six regions.
Croatia                                                                                                                                              0
Cyprus                                                                                                                                               0
Czech Republic                                                                                                                                       0
Denmark          Among other initiatives the regions have established job-banks for retired doctors and nurses. They are now used for staffing
                 vaccine centres. GPs vaccinate the elderly in the nursing homes.
Estonia                                                                                                                                              0
Finland          Municipalities are responsible for organising the vaccinations in their respective areas.
France                                                                                                                                               0
Georgia          Georgia has no specific plan yet. Only after it is known which vaccine Georgia will get, the plan is specified. This is estimated for
                 the beginning of March.
Germany          The medical staff in the vaccines centres mainly consists of health professionals that work in nearby hopsitals or that are
                 resident doctors. Logistical support is provided by aid organizations, the German millitary and logistics companies.

Greece                                                                                                                                               0
Hungary                                                                                                                                              0
Iceland                                                                                                                                              0
Ireland          Vaccine centres are staffed by GPs , practice nurses and practice staff.
Israel                                                                                                                                               0
Italy                                                                                                                                                0
Kosovo*                                                                                                                                              0
Latvia                                                                                                                                               0
Lithuania                                                                                                                                            0
Luxembourg                                                                                                                                         0
Malta                                                                                                                                              0
Montenegro                                                                                                                                         0
Netherlands       Regional public health services are staffed for BioNTech/Pfizer vaccine. Moderna vaccine wil be distributed/administered by
                  GP's / nursing homes, etc.
North Macedonia   Immunization teams (doctor and nurse) already work in health centers. They are also trained for outreach work, meaning, they
                  regularly travel to rural regions where they vaccinate on-site.
Norway            The staffing of vaccine centres differs throughout the country.
Poland                                                                                                                                             0
Portugal                                                                                                                                           0
Romania                                                                                                                                            0
Serbia                                                                                                                                             0
Slovakia                                                                                                                                           0
Slovenia                                                                                                                                           0
Spain                                                                                                                                              0
Sweden            In Sweden, the 21 heathcare regions are responsible for vaccination in their own region and they have different strategies for
                  organizing the vaccination.
Switzerland                                                                                                                                        0
Turkey            Family physicians and family health personnel were assigned in the vaccine administration unit in family health centers. Doctors
                  and nurses were assigned to the vaccine administration unit established in hospitals. For the mobile vaccination service,
                  healthcare professionals working in the community health center work.
UK                In England, general practice surgeries are working in groups using existing staff doing additional hours, along with volunteers
                  and others returning to the workforce. Practices arrange staffing rotas themselves.
Ukraine           Special immunization teams (doctor and nurse) are planed to work in medical centers or mobile crews - according to the
                  schedule.
Country          If you use a digital contact tracing app, is there a different regime for the proximity
                 alerts if you are a health professional?
Albania                                                                                                                                      0
Austria          No
Belgium                                                                                                                                      0
Bulgaria         N/A
Croatia                                                                                                                                      0
Cyprus                                                                                                                                       0
Czech Republic                                                                                                                               0
Denmark          No
Estonia          No, there is not.
Finland          The app "Koronavilkku" is the same for all who use it (i.e. approximately 2 meters, 15 minutes). 2,5 million Finns have
                 downloaded the app out of a population of 5,5 million.
France           There are no differences.
Georgia          There are no differences.
Germany          The German digital contact tracing app makes no distinction between the general population and health professionals regarding
                 the proximity alerts regime.
Greece           There is no digital contact tracing app.
Hungary          No, there is not.
Iceland          No, there is not.
Ireland          No, there is not.
Israel                                                                                                                                       0
Italy                                                                                                                                        0
Kosovo*          No, there is not.
Latvia           No, there is not.
Lithuania        We don't use a digital contact tracing app.
Luxembourg                                                                                                                                   0
Malta                                                                                                                                        0
Montenegro                                                                       0
Netherlands       No.
North Macedonia   We don't use any digital contact tracing app.
Norway            No digital contact tracing app is currently used nationally.
Poland                                                                           0
Portugal                                                                         0
Romania           There is no established digital tracking system in Romania.
Serbia                                                                           0
Slovakia                                                                         0
Slovenia                                                                         0
Spain                                                                            0
Sweden            In Sweden we do not have a contact tracing app.
Switzerland       No, there is not.
Turkey            It’s available only for vaccination.
UK                                                                               0
Ukraine           No.
Country          Shortages of medicines (e.g. Propophol)?
Albania                                                                                                                                    0
Austria          No
Belgium                                                                                                                                    0
Bulgaria         No shortages
Croatia                                                                                                                                    0
Cyprus                                                                                                                                     0
Czech Republic   Currently not.
Denmark          Shortages of different kind of medicines occur regularly.
Estonia          No, there are no shortages.
Finland          No shortages have been reported.
France           There is currently no communication about the risk of drug shortage.
Georgia          All medicines are available as required by guidelines.
Germany          In spring 2020, there were concerns about potential shortages of propophol, adrenalin and vaccines against pneumococci.
                 However, there are no shortages reported now.
Greece           No, there are no shortages.
Hungary          No, there are no shortages.
Iceland          No, there is not.
Ireland          No, there are no shortages.
Israel                                                                                                                                     0
Italy                                                                                                                                      0
Kosovo*          No, there is not.
Latvia           No, there is not.
Lithuania        Currently not.
Luxembourg                                                                                                                                 0
Malta                                                                                                                                      0
Montenegro                                                                                                                                 0
Netherlands       At the moment no shortage.
North Macedonia   There were no shortages of registered medications in hospitals. However, in pharmacies there were shortages of some
                  prescription medications, for example there are often shortages of Clexane and Fraxiparine.
Norway            A list of medicines published by the Norwegian Medicines Agency shows that there is a shortage of medicines, for example
                  cisatracurium and paracetamol, but alternatives are available. More information can be found here:
                  https://legemiddelverket.no/legemiddelmangel/nyheter-om-legemiddelmangel-og-avregistreringe
Poland                                                                                                                                       0
Portugal                                                                                                                                     0
Romania           With a few exceptions related to temporary procurement difficulties, there are still no medicines shortages.
Serbia                                                                                                                                       0
Slovakia                                                                                                                                     0
Slovenia                                                                                                                                     0
Spain                                                                                                                                        0
Sweden            No longer any shortage of propophol.
Switzerland       Yes, they have been documented.
Turkey            The Ministry of Health has not shared any data on this issue.
UK                Currently, there are no COVID-specific shortages.
Ukraine           Currently not.
Country          Shortages of Medical Devices (e.g. ventilation devices)?
Albania                                                                                                                                           0
Austria          No
Belgium                                                                                                                                           0
Bulgaria         No shortages
Croatia                                                                                                                                           0
Cyprus                                                                                                                                            0
Czech Republic   Currently not.
Denmark          No
Estonia          No, there are no shortages.
Finland          No shortages have been reported. The epidemic is in control all around the country and healthcare capacity has been sufficient
                 so far.
France           There is currently no communication about the risk of medical devices shortage.
Georgia          Yes.
Germany          There is no acutal shortage. However, the German government ordered more than 26000 new ventilation devices in spring
                 2020.
Greece           No, there are no shortages.
Hungary          No, there are no shortages.
Iceland          At the beginning of the pandemic there was an urgent need to restock medical devices in the national hospital, but that was
                 dealt with in cooperation with other countries including China. Today there is no shortage.
Ireland          No, there are no shortages.
Israel                                                                                                                                            0
Italy                                                                                                                                             0
Kosovo*          No, there are no shortages.
Latvia           No, there is not.
Lithuania        No, there are no shortages.
Luxembourg                                                                                                                                        0
Malta                                                                                                                                             0
Montenegro                                                                                                                                          0
Netherlands       At the moment no shortage.
North Macedonia   No, there are no shortages.
Norway            The demand is met at the moment.
Poland                                                                                                                                              0
Portugal                                                                                                                                            0
Romania           For now, at the current level of new daily cases that today exceeded 3,000 with about 600 COVID patients in intensive care, the
                  health system still can manage, but by reaching 1,000 patients in intensive care, the technical and human capacity will be
                  exceeded, even if they will expand the ICU wards.
Serbia                                                                                                                                              0
Slovakia                                                                                                                                            0
Slovenia                                                                                                                                            0
Spain                                                                                                                                               0
Sweden            No shortage of ventilation devices.
Switzerland       Yes, they have been documented.
Turkey            The Ministry of Health has not shared sufficient and appropriate data on this issue.
UK                Concerns around ventilator supply in initial months of pandemic, NHS reportedly had to use ventilators in ICU usually used in
                  other settings (e.g. in operating theatres). Government efforts to increase supply appear to have reduced shortage. Rate limiting
                  factor is rather having enough trained staff to use such devices.
Ukraine           Currently not.
Country          Have you used 100% of your stocks of medical devices and medicines needed to treat
                 COVID-19 patients at any time of the pandemic?
Albania                                                                                                                                      0
Austria          No
Belgium                                                                                                                                      0
Bulgaria         No. In fact, according to a recent survey, hospitals believe they can manage a new wave over the autumn/winter period in terms
                 of equipment.
Croatia                                                                                                                                       0
Cyprus                                                                                                                                       0
Czech Republic   Not yet.
Denmark          No
Estonia          No, they were not.
Finland          No, they were not.
France           This has not been specified.
Georgia          No.
Germany          No, they were not.
Greece           No, they were not.
Hungary          No, they were not.
Iceland          No, there is not.
Ireland          No, no they were not.
Israel                                                                                                                                       0
Italy                                                                                                                                        0
Kosovo*          No.
Latvia           No
Lithuania        No
Luxembourg                                                                                                                                   0
Malta                                                                                                                                        0
Montenegro                                                                                                                                       0
Netherlands       Yes.
North Macedonia   Only briefly.
Norway            n/a
Poland                                                                                                                                           0
Portugal                                                                                                                                         0
Romania           Only for very short periods of time
Serbia                                                                                                                                           0
Slovakia                                                                                                                                         0
Slovenia                                                                                                                                         0
Spain                                                                                                                                            0
Sweden            No. Sweden has had enough capacity during the pandemic apart from initial shortage of some medicines and PPE.

Switzerland       Unknown.
Turkey            The Ministry of Health has not shared sufficient and appropriate data on this issue.
UK                Nationally this is unlikely to have been the case, but there were reports of localised shortages during the pandemic.

Ukraine           Currently not. In some centers shortages existed in the previous period re. ventilator devices and oxygen supply networks to
                  patient beds.
Country          Did you manage to restock medicines and medical devices? Did you cooperate with
                 other countries or participate in any EU programme?
Albania                                                                                                                                           0
Austria          Yes
Belgium                                                                                                                                           0
Bulgaria         Yes. But Bulgaria has not cooperated with other countries
Croatia                                                                                                                                           0
Cyprus                                                                                                                                            0
Czech Republic   As far as I know, during the first wave of the epidemic, there was sort of a symbolic aid happening from the side of the Czech
                 Republic towards Italy.
Denmark          Yes. DMA does not know if Denmark has cooperated or participated in any EU programmes.
Estonia          Yes, it was possible to restock.
Finland          Restocking has been possible. Finland has participated some EU programmes.
France           There was cooperation in the context of EMA activities.
Georgia          Georgia received a grant from the EU and bought some medical equipment, protective equipment. Trainings are hold for
                 medical staff. Georgia is expecting support on vaccines.
Germany          Regarding medical devices, Germany donated ventilation devices to France, Italy and Spain. Filling a gap of the corresponding
                 EU programme, Germany also plans to give some ventilation devices to developing countries. Germany also supports rescEU,
                 the European Commission's strategic medical reserve and distribution mechanism under the umbrella of the EU Civil Protection
                 mechanism. Germany is among the nine EU Member States that host stockpiles of medical devices.

Greece           This is not applicable.
Hungary          Yes, it was possible to restock. There was no participation in EU programmes.
Iceland          Yes, it was possible to restock.
Ireland          N/A
Israel                                                                                                                                            0
Italy                                                                                                                                             0
Kosovo*          Yes, in cooperation with WHO, World Bank and the EU Commission.
Latvia            N/A
Lithuania         Yes
Luxembourg                                                                                                                                        0
Malta                                                                                                                                             0
Montenegro                                                                                                                                        0
Netherlands       Yes, we managed to restock medicines and medical devices, and we did not cooperate with other countries or participate in any
                  EU programme.
North Macedonia   Yes. Some EU countries donated PPE and medical devices. EU donated 12 respirators, Germany 8, Norway donated also. EU
                  grants were received for fighting the pandemic.
Norway            Yes. In March Norway joined the EU JPA initiative on joint procurement of medicines, medical equipment and PPE.

Poland                                                                                                                                            0
Portugal                                                                                                                                          0
Romania           The Ministry of Health is the competent authority in the field. We do not have concrete information on the supply process and
                  possible collaborations.
Serbia                                                                                                                                            0
Slovakia                                                                                                                                          0
Slovenia                                                                                                                                          0
Spain                                                                                                                                             0
Sweden            N/A
Switzerland       Partially.
Turkey            The Ministry of Health has not shared any data on this issue.
UK                UK government took steps to increase ventilator supply, although it was criticised by a Public Accounts Committee report in Nov
                  2020 for being too slow in its response: https://committees.parliament.uk/committee/127/public-accounts-
                  committee/news/132853/government-lost-a-crucial-month-in-underprepared-slow-ventilators-response/. There were media
                  reports in March 2020 about the UK government not signing up to an EU scheme to source more devices:
                  https://www.bbc.co.uk/news/uk-politics-52052694

Ukraine           The Ministry of Health has not shared any data on this issue.
Country          Have you noticed an increase of falsified or substandard medical devices or
                 medicines to treat COVID-19 patients?
Albania                                                                                                                                       0
Austria          No
Belgium                                                                                                                                       0
Bulgaria         We had an issue with substandard PPE and desinfectants, but it has been solved.
Croatia                                                                                                                                       0
Cyprus                                                                                                                                        0
Czech Republic   Some of the PPE purchased from China did not meet the standards. According to our sources, the Ministry of Health is currently
                 in dispute with a few companies which were selling PPE to our country at immoderate prices.
Denmark          No
Estonia          No, there were no such cases.
Finland          No such cases were reported. Some PPE purchased in spring was substandard compared to what was ordered.
France           Not specified
Georgia          No, not until now.
Germany                                                                                                                                       0
Greece           No, there were no such cases.
Hungary          No, there were no such cases.
Iceland          No, there were no such cases.
Ireland          No.
Israel                                                                                                                                        0
Italy                                                                                                                                         0
Kosovo*          No, there were no such reports.
Latvia           No, there were no such cases.
Lithuania        No
Luxembourg                                                                                                                                    0
Malta                                                                                                                                         0
Montenegro                                                                                                   0
Netherlands       Yes.
North Macedonia   No, except for medical masks. Questions were raised about their quality and declaration.
Norway            N/A
Poland                                                                                                       0
Portugal                                                                                                     0
Romania           N/A
Serbia                                                                                                       0
Slovakia                                                                                                     0
Slovenia                                                                                                     0
Spain                                                                                                        0
Sweden            N/A
Switzerland       No, there were no such cases. Except for not declared non medical use masks.
Turkey            There is no reliable data on this subject.
UK                No
Ukraine           No, there were no such reports.
Country          Shortage of workforce?
Albania                                                                                                                                              0
Austria          No
Belgium                                                                                                                                              0
Bulgaria         Yes, severe shortages, particularly of infectionists, anaestesiologists, pathologists and nurses. A recent survey reported that lack
                 of health professionals is the biggest challenge.
Croatia                                                                                                                                             0
Cyprus                                                                                                                                               0
Czech Republic   Lack of doctors, nurses and other healthcare professionals is a chronical issue of our healthcare system. COVID-19 epidemic
                 made the issue even worse. For instance, the older doctors were afraid to work, doctors-parents could not work since the
                 schools were closed and they had to take care of their children. However, thanks to taking rapid, tough measures, the first wave
                 of the epidemic was eventually managed enough to leave our underfinanced and personally devastated health care system
                 functional.
Denmark          The workforce is under great pressure because of Covid-19 patients and catching up the missing operations etc. from the spring
                 period - and colleagues who themselves are Covid-19 infected.
Estonia          Yes, there is a shortage.
Finland          The epidemic situation varies in different regions. Some healthcare professionals have temporarily changed their tasks or unit in
                 which they work. An actual shortage has not been reported.
France           The situations were very different depending on the different regions and the heavily populated cities impacted by COVID-19.

Georgia          No, not at the moment.
Germany          A shortage of workforce in the health sector existed even before the pandemic.The government recently announced that it aims
                 to create 5000 additional university places for medicine in Germany to remedy a shortage of doctors in the future.

Greece           Unfortunately, primary healthcare is still not fully adequate, which results in citizens presenting at public hospitals, while at the
                 same time the pre-existing shortage of health personnel, mainly nurses, becomes apparent. The pandemic has highlighted the
                 need to hire more doctors and nurses, a process that has already begun but is time consuming, due to bureaucracy. During the
                 second pandemic wave, doctors of various specialties and nurses are moved to ICUs and emergency departments.

Hungary          There is no shortage at present, but there is a possibility to relocate medical doctors or nurses if necessary.
Iceland           Yes, there is a shortage.
Ireland           Prior to COVID-19, Ireland was already suffering from significant shortages of medical specialists. Latest figures indicate there
                  are approximately 730 (1/5) of specialist posts in the HSE that are unfilled or filled on a temporary basis. In Public Health
                  Medicine, Ireland has just 68 public healh specialists (or 1/3) the number of public health specialists compared to other
                  countries of a similar population size and demography.
Israel                                                                                                                                                0
Italy                                                                                                                                                 0
Kosovo*           Yes.
Latvia            Yes, there is a shortage, especially of nurses.
Lithuania         So far, there was no problem.
Luxembourg                                                                                                                                            0
Malta                                                                                                                                                 0
Montenegro                                                                                                                                            0
Netherlands       Yes, again due to second wave of COVID-19 infections.
North Macedonia   Yes, mostly nurses and infectologists, anesthesiologists, pulmologists and epidemiologists. Since the start of the pandemic all
                  doctors and nurses were mobilized and "the method of rotation" was implemented. At the peak of the second wave doctors and
                  nurses from various specialties and departments were transferred to work temporarily in COVID19 units.

Norway            In March 2020, medical students were asked to volunteer due to a foreseen shortage of medical staff.
Poland                                                                                                                                                0
Portugal                                                                                                                                              0
Romania           In some counties this is a reality. Residents of intensive care in the last year of training were used, and specialists in public
                  health and epidemiology were seconded for short periods where necessary.
Serbia                                                                                                                                                0
Slovakia                                                                                                                                              0
Slovenia                                                                                                                                              0
Spain                                                                                                                                                 0
Sweden            The shortage of medical specialists has affected Swedish healthcare for a long time even prior to the pandemic and has
                  contributed to a strained work environment in both primary care and in emergency and inpatient care.
Switzerland       Unequal distribution.
Turkey    The Ministry of Health has not shared sufficient and appropriate data on this issue.
UK        Workforce shortages are an ongoing issue, predating COVID. The BMA has regularly raised this issue with the government.
          During the first wave of the pandemic the NHS relied on medical students and retired staff returning to the front line though
          data on precise numbers is lacking. Existing staff had to be re-deployed to different settings to deal with demand, which is also
          be the case in the second wave.
Ukraine   Yes, severe shortages, particularly of infectionists, anaestesiologists, and nurses. Lack of health professionals is the biggest
          challenge.
Country          Do you still rely on national reserves of healthcare professionals, e.g. retired doctors,
                 students?
Albania                                                                                                                                          0
Austria          Yes
Belgium                                                                                                                                          0
Bulgaria         No
Croatia                                                                                                                                          0
Cyprus                                                                                                                                           0
Czech Republic   At the moment, our problem is the insufficient capacity of the “hygienic” services (public health services) which leads to
                 insufficient contact tracing. The public health services have been assisted by soldiers and, for example, students lately.

Denmark          No, but there is now a possibility established to enroll these groups quickly.
Estonia          No, not currently.
Finland          There has been no need since spring. Students have been used in tracing work.
France           This applies only to the Overseas Territories.
Georgia          Yes.
Germany          In the much affected German state of Saxony, retired doctors were asked for their support by the state's health minister in
                 November 2020. Retired doctors can also support vaccine centers or they can work for the public health authorities on contact
                 tracing of COVID-19 patients.
Greece           No, not currently.
Hungary          They are available if needed.
Iceland          Yes.
Ireland          Approximately 950 interns were taken on last year to fight COVID 19, however many will likely emigrate at the end of the intern
                 year as the number of specialist training posts available remains around 700. Just 330 healthcare workers were recruited out of
                 75,000 applicants to the HSE’s ‘Be on Call for Ireland’ initiative, a drive to support the health service during the Covid-19
                 pandemic.
Israel                                                                                                                                          0
Italy                                                                                                                                            0
Kosovo*          Yes.
Latvia            Yes, a voluntary call has been launched.
Lithuania         No, There are still additional healthcare professionals employed and redeployed mainly to public health departments to support
                  testing and tracing.
Luxembourg                                                                                                                                     0
Malta                                                                                                                                         0
Montenegro                                                                                                                                    0
Netherlands       Yes, again in second wave.
North Macedonia   No, currently not. During the peak of the second wave in November 2020 medical students were helping epidemiologists in
                  contact tracing.
Norway            No, not currently.
Poland                                                                                                                                        0
Portugal                                                                                                                                      0
Romania           Currently not, but in March and April were also used student volunteers. Retired doctors were not mobilized.
Serbia                                                                                                                                        0
Slovakia                                                                                                                                      0
Slovenia                                                                                                                                      0
Spain                                                                                                                                         0
Sweden            No, not anymore.
Switzerland       No.
Turkey            Yes, we trust them to be competent and qualified.
UK        The General Medical Council has granted temporary registration to additional doctors under its emergency powers, so that they
          are able to help with the coronavirus pandemic. This includes:
          • 15,500 doctors who had given up their registration or licence to practise within the last three years
          • nearly 6,800 doctors with a UK address who gave up their registration between three and six years ago
          • a further 12,000 doctors with a UK address who are GMC registered, but who do not currently hold a licence to practise.
          Doctors are being added to the medical register and given an option to opt out if they do not wish to be on the register.
          Returning to work is voluntary but in case doctors do not opt out:
          • They will be asked to complete a short survey to help determine your skills and how you can assist the health service
          • They will remain on the medical register with a license to practise for the duration of the emergency
          • They won’t be charged to re-join the medical register
          • They won’t need to revalidate during your temporary registration.

          The BMA has published its advice for returning to clinical practice: https://www.bma.org.uk/advice-and-support/career-
          progression/applying-for-a-job/returning-to-clinical-practice-after-absence
          As part of action responding to the outbreak of Coronavirus, some medical schools and trusts/boards have offered medical
          students the opportunity to take on contracts of employment in the NHS.

Ukraine   No.
Country          Working time/Work load
Albania                                                                                                                                              0
Austria          Borth working time and work load have increased. No special rules apply, but doctors may be compensated both financially or
                 with time off for overtime.
Belgium                                                                                                                                              0
Bulgaria         Working time has been changed only for COVID-19 wards and ICUs.
Croatia                                                                                                                                              0
Cyprus                                                                                                                                               0
Czech Republic   During the first wave of the epidemic (March, April), there were special rules recognised in hospitals. E.g. Medical personnel
                 were divided into teams to prevent COVID-19 exposure; most elective surgeries were postponed as well as care for patients
                 with chronic illnesses. Medical personnel in acute-care facilities were working in 12 hour shifts.

Denmark          ?
Estonia          There were extra hours for COVID-wards.
Finland          The epidemic situation was very good in summer, but has got worse towards the end of the year 2020. Consequently, the work
                 load has increased in addition to dealing with the backlog of treatments.
France           This has not been evaluated but there is a very large volume of hours of activity for health professionals in the highly affected
                 regions.
Georgia          Doctors and epidemilogists work extra hours in certain situations.
Germany          It is likely that working time and the work load of doctors increased through the pandemic. A survey from 2018 concluded that
                 more than a third of the 445000 German doctors worked more than 48 hours a week regularly.
Greece           There is no regular work shift. All healthcare professionals work overtime.
Hungary          Working time and the work load are elevated.
Iceland          Working time and the work load are elevated.
Ireland          There are ongoing issues in relation to working time and workload particularly in Public Health medicine and Occupational
                 Health medicine.
Israel                                                                                                                                               0
Italy                                                                                                                                                0
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